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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01HL145055-05 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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Americans continue to consume high amounts of sodium. Potassium is notable for its blood pressure lowering effects but less is known regarding its effect on the vasculature. This investigation seeks to determine the role of dietary potassium on the vasculature in the presence of a high sodium diet in salt-resistant adults.
Significant public health efforts have been made towards salt reduction but most have met with failure. Dietary factors such high sodium/low potassium diets contribute to the development of cardiovascular diseases (CVDs) such as atherosclerosis and high blood pressure (BP). This is important as CVD is the number one killer in the U.S. While the role of these two nutrients on BP is widely accepted, their impact on the vasculature has received less attention. Endothelial dysfunction, characterized by impaired dilation, is an important non-traditional risk factor for atherosclerosis. Evidence supporting potassium's beneficial role on vascular health remains unclear although it may be more effective in the presence of a high sodium diet. A purported mechanism responsible for sodium-induced vascular dysfunction is overproduction of reactive oxygen species (ROS) resulting in reduced nitric oxide (NO) production/bioavailability. Additionally, high sodium diets have been shown to stiffen the endothelium. This investigation will evaluate the vascular effects of dietary potassium during a high salt diet including its impact on sodium-induced oxidative stress and endothelial cell stiffness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Moderate Potassium/Low Sodium | Experimental | Subjects will be provided with a diet that is moderate in potassium and low in sodium. |
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| Moderate Potassium/High Sodium | Experimental | Subjects will be provided with a diet that is moderate in potassium and high in sodium. |
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| High Potassium/High Sodium | Experimental | Subjects will be provided with a diet that is high in both potassium and sodium. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Moderate Potassium/Low Sodium Diet | Other | Consumption of 10 days of a diet moderate in potassium and low in sodium. |
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| Measure | Description | Time Frame |
|---|---|---|
| Conduit artery endothelial-dependent dilation | The change in flow-mediated dilation (FMD) between the 3 diets as assessed by brachial artery FMD | on day 10 of the diet |
| Microvascular function | Cutaneous microvascular dilatory response to local heating assessed by laser Doppler flowmetry coupled with intradermal microdialysis | on day 10 of the diet |
| Measure | Description | Time Frame |
|---|---|---|
| Ambulatory BP monitoring | assessed by 24-hour ambulatory blood pressure | on day 7 and 10 of diet |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shannon L Lennon, PhD | Contact | (302)831-2798 | slennon@udel.edu | |
| Shannon L Lennon, PhD | Contact | 3028312798 | slennon@udel.edu |
| Name | Affiliation | Role |
|---|---|---|
| Shannon L Lennon, PhD | University of Delaware | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Delaware | Recruiting | Newark | Delaware | 19716 | United States |
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All participants will complete each arm. It is a crossover, randomized design.
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| Moderate Potassium/High Sodium Diet | Other | Consumption of 10 days of a diet moderate in potassium and high in sodium. |
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| High Potassium/High Sodium Diet | Other | Consumption of 10 days of a diet high in potassium and high in sodium. |
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